Pulmonary
Dyspnea; use of accessory muscles with inhalation; reports productive cough for past 2 weeks, unable to tolerate any physical activity; wheezes and rhonchi in all of the lung fields
Gastrointestinal
Reports lack of appetite for past few weeks
Integumentary
Skin color normal for ethnicity; warm to touch; clubbing of the fingers
Musculoskeletal
States has experienced unintentional weight loss for past 3 months; history of asthma
Psychosocial
Client lives alone at home, 20-pack-year cigarette smoker
Temperature 98.7°F (37.1°C)
Pulse 114
RR 26
BP 142/83
Pulse oximetry 87% on room air
➢ Which of the following assessment findings require immediate follow-up? Select all that apply.
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